Call Us Today: 256.891.7040
200-B Sand Mountain Drive East Albertville, AL

New Patient Center

Here is a collection of forms that you will need when you visit our offices! Just remember, DO NOT SIGN THESE FORMS until you are in our office. We need to witness your signature!

Patient Info Form Page 1

Patient Info Form Page 2

2017 ADL Form

Notice of Privacy Practice

Informed Consent Form

Privacy Notice Acknowledgement

HIPAA Privacy Form

Non-Covered Service Statement

Release of Records

Body Illustration